| NPI | 1285198614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 293545) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY N41280-01) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2026-05-26 |